– See: Hallux Valgus: – for mod hallux valgus in younger pts (HVA < 30 & IMA < 13-15 deg); – usually no pin or screw fixation is required; – no shortening of metatarsal will occur; – if a Silver Procedure is being performed, concomitantly, the excised medial eminence can be fashioned into a trapezoidal … Read more
– Discussion: – favored for advanced disease, especially in diabetics, and is indicated for patients w/ multiple involvement; – use transverse incisions in the palm at the distal palmar crease, as well as transverse incisions at the base of fingers, and at PIP crease; – limited fasciectomy is performed; … Read more
See: Arthroscopic Acromioplasty Rotator Cuff Tear Repair – Discussion: – indications: – impingement syndrome – patients w/ a stable impingement syndrome w/ good shoulder function should participate in a formal rehabilitation program for 6 months; – patients w/ … Read more
– See: Obstetrical Paralysis: – Discussion: – injury to the lower roots (C8 and T1 ) & or C7; – may follow forceful abduction of shoulder, produces weakness in intrinsics of hand as well as long flexors & extensors of the fingers; – these lesions are usually preganglionic; … Read more
– See: – Erb’s Palsy – Lower Root Injury: (Klumpke) – Shoulder in brachial plexus injuries: – Traumatic Brachial Plexus Palsy in Children – Discussion: – incidence of brachial plexus birth palsy is approx two / 1,000 births; – … Read more
– Frx Malrotation: – tend to shorten & rotate rather than angulate; – may telescope because of proximal pull of extrinsic muscles; – effect of malrotation: – if 5 deg of malrotation is accepted, then displacement will override 10 mm; – Frx Shortening: … Read more
– See: – Proximal Pole Frx: – Bone Grafting of Scaphoid Non Unions: – Scaphoid Nonunions: – Radiographs: – need to determine whether there is AVN of scaphoid: – classic signs of AVN include: … Read more
– Discussion: – most useful in patients with an acute flare-up and in patients with minimal and intermittent symptoms; – avoiance of use of wrist, placement of wrist splint in a neutral position for day and night use, and NSAIDS; – only 20% of these pts … Read more
– See: Phalangeal Injury Menu: – Discussion: – undisplaced frxs and impacted transverse frx of phalanges are treated w/ buddy taping assumming that: – frx is stable (impacted and undisplaced); – no angulation in any plane: (ie, there is no volar angulation); … Read more
– See: – Humeral Fracture Non Union – Tibial Non Unions – Femoral Shaft Non Union – Discussion: – see bone healing and bone blood supply – definition: fracture that lacks potential to heal without further intervention – frx of shaft of long bone should not be considered nonunion until at … Read more